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Titre : | Plantar pressure distribution in patients with diabetic peripheral neuropathy and a first-ray amputation |
Type de document : | article de périodique |
Auteurs : | Iona Borg ; [et al.] |
Année de publication : | 2018 |
Article en page(s) : | p. 225-230 |
Langues : | Anglais (eng) |
Descripteurs (mots clés) : | [Thésaurus HELB]:Paramédical:Pression plantaire [Thésaurus Mesh]Amputation chirurgicale [Thésaurus Mesh]Diabète [Thésaurus Mesh]Maladies du système nerveux [Thésaurus Mesh]Pied diabétique
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Mots-clés : | Plantar pressure diabetic foot nervous system diseases amputation diabetes mellitus |
Résumé : | Background: Elevated dynamic plantar pressures are a consistent finding in diabetic patients with peripheral neuropathy, with implications for plantar foot ulceration. This study aimed to investigate whether a first-ray amputation affects plantar pressures and plantar pressure distribution patterns in individuals living with diabetes and peripheral neuropathy. Methods: A nonexperimental matched-subject design was conducted. Twenty patients living with diabetes and peripheral neuropathy were recruited. Group 1 (n ¼ 10) had a first-ray amputation and group 2 (n ¼ 10) had an intact foot with no history of ulceration. Plantar foot pressures and pressure-time integrals were measured under the second to fourth metatarsophalangeal joints, fifth metatarsophalangeal joint, and heel using a pressure platform. Results: Peak plantar pressures under the second to fourth metatarsophalangeal joints were significantly higher in participants with a first-ray amputation (P ¼ .008). However, differences under the fifth metatarsophalangeal joint (P ¼ .734) and heel (P ¼ .273) were nonsignificant. Pressure-time integrals were significantly higher under the second to fourth metatarsophalangeal joints in participants with a first-ray amputation (P ¼ .016) and in the heel in the control group (P ¼ .046). Conclusions: Plantar pressures and pressure-time integrals seem to be significantly higher in patients with diabetic peripheral neuropathy and a first-ray amputation compared with those with diabetic neuropathy and an intact foot. Routine plantar pressure screening, orthotic prescription, and education should be recommended in patients with a first-ray amputation. |
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